Individual
ELINA RAKHAMIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
369 E 148TH ST, BRONX, NY 10455-4041
(718) 292-0159
Mailing address
369 E 148TH ST, BRONX, NY 10455-4041
(718) 292-0159
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2661361
NY
Other
Enumeration date
08/20/2014
Last updated
05/20/2015
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